I-arthritis yezingane: izimbangela, izimpawu nokwelashwa

-Delile

• Ziyini izimpawu nezimpawu
• Izimbangela ezingaba khona
• Yelashwa kanjani
• I-Physiotherapy ye-arthritis yengane
• Bona ezinye izindlela zokudambisa izimpawu zesifo samathambo ebuntwaneni ngokudla ukudla okukhethekile kwe-arthritis noma ukuzivocavoca ukuze uthuthukise izimpawu.

Isifo samathambo sezinsana, esaziwa nangokuthi i-juvenile rheumatoid arthritis yisifo esingajwayelekile esenzeka ezinganeni ezineminyaka engaba ngu-16 futhi esidala ukuvuvukala kwelungu elilodwa noma amaningi, okwenza izimpawu ezifana nobuhlungu, ukuvuvukala nokubomvu emalungeni, futhi kungathinta nezinye izitho ezifana nesikhumba, inhliziyo, amaphaphu, amehlo nezinso.

Isifo samathambo esencane asivamile, futhi yize izimbangela zaso zingakacaci, kuyaziwa ukuthi sihambisana nezinguquko kumasosha omzimba, ezofuzo kanye nokutheleleka okuthile ngamagciwane noma ngamagciwane. Kodwa-ke, i-idiopathic arthritis ayithelelani futhi ayidluliswa isuka kubazali iye ezinganeni.

Ingahlukaniswa ngezinhlobo ezahlukahlukene, ngokuya ngenani lamajoyinti athintekile nezimpawu nezimpawu okudala kwezinye izingxenye zomzimba:

• I-Oligoarticular Arthritis, lapho kuthinteka khona amalunga ama-4 noma ngaphansi;
• I-Polyarticular Arthritis, lapho amalunga ama-5 noma ngaphezulu athinteka ezinyangeni eziyisithupha zokuqala zesifo;
• I-Arthritis Yesistimu, esibizwa nangokuthi isifo sika-Still, senzeka lapho isifo samathambo sihambisana nomkhuhlane nezinye izimpawu nezimpawu zokubandakanyeka kwezitho zomzimba eziningana, njengesikhumba, isibindi, ubende, amaphaphu noma inhliziyo;
• I-arthritis ehlobene ne-Entesitis, okuwukuvuvukala ezindaweni zokunamathiselwa kwamathambo emathanjeni, noma ngaphandle kokubandakanyeka kwamajoyini we-sacroiliac noma umgogodla;
• I-Juvenile Psoriatic Arthritis, ebonakala ngokuba khona kwe-arthritis enezimpawu ze-psoriasis;
• Akuhlukanisiwe, angagcwalisi imibandela yanoma iziphi izigaba ezingenhla.

Ziyini izimpawu nezimpawu

Izimpawu eziyinhloko zesifo samathambo ebuntwaneni zifaka:

• Ubuhlungu nokuvuvukala kwilunga elilodwa noma amaningi;
• Amachashaza emzimbeni;
• Amehlo acasukile namandla okuguqula okushintshiwe, lapho kukhona ukuvuvukala kwamehlo, okubizwa nge-uveitis;
• Umkhuhlane oqhubekayo ungaphansi kuka-38ºC, ikakhulukazi ebusuku;
• Kunzima ukuhambisa ingalo noma umlenze;
• Usayizi owandisiwe wesibindi noma ubende;
• Ukukhathala ngokweqile nokungabi nesifiso sokudla.

Ezinye izingane kungenzeka zingakhonondi ngobuhlungu obuhlangene futhi, ngakho-ke, ezinye izimpawu ezingakhombisa isifo samathambo ziyaxhuga, zithule kakhulu noma zinobunzima bokusebenzisa izandla zazo ukwenza ukunyakaza okubucayi, njengokubhala noma ukupenda, ngokwesibonelo.

Ukuxilongwa kwesifo samathambo ebuntwaneni akulula ngaso sonke isikhathi ukwenza, ngoba akukho ukuhlolwa kwegazi okusiza ukukhomba lesi sifo, njengakwabadala. Ngakho-ke, udokotela angenza izivivinyo eziningana ukuqeda imicabango ethile kuze kube uthola ukutholakala kwesifo samathambo ebuntwaneni.

Izimbangela ezingaba khona

Imbangela enkulu yesifo samathambo ebuntwaneni wushintsho kumasosha omzimba wengane olwenza ukuthi umzimba uhlasele ulwelwesi lwamalunga, kubangele ukulimala nokuvuvukala kubangele ukubhujiswa kolwelwesi lwamalunga.

Kodwa-ke, inkinga akuyona ifa, ngakho-ke, ivela kubazali kuphela ezinganeni, okujwayele ukuba khona kwecala elilodwa kuphela emndenini.

Yelashwa kanjani

Ukwelashwa kwesifo samathambo ebuntwaneni kufanele kuqondiswe yi-rheumatologist yezingane, kepha kuvame ukuqala ngokusetshenziswa kwezidakamizwa ezilwa nokuvuvukala, njenge-Ibuprofen noma i-naproxen, ngokwesibonelo, ngemithamo eguqulwe isisindo sengane.

Kodwa-ke, uma le mithi ingenamthelela, udokotela futhi angahle anikeze amakhambi akhethekile abambezela ukukhula kwesifo, asebenzise amasosha omzimba, njenge-methotrexate, i-hydroxychloroquine noma i-sulfasalazine, esiza ukukhulula izimpawu futhi ivimbele ukuvela kwezilonda ezintsha ku amalunga, ama-immunosuppressants, njenge-Cyclosporine noma i-Cyclophosphamide noma izindlela ezintsha zokwelapha ezijojwayo, njenge-Infliximab, i-Etanercept ne-Adalimumab.

Lapho isifo samathambo ebuntwaneni sithinta ilunga elilodwa kuphela, i-rheumatologist nayo ingase ikunikeze imijovo ye-corticosteroids, efana ne-prednisone, ukugcwalisa ukwelashwa okwenziwe ngezinye izidakamizwa nokususa izimpawu zezinyanga ezimbalwa.

Ngaphezu kwalokho, izingane ezine-juvenile idiopathic arthritis kufanele futhi zithole ukwesekwa ngokwengqondo kanye nokwesekwa okuvela emndenini, ngoba zingaba nezinkinga ezingokomzwelo nezenhlalo. Ukukhula kwengqondo kwengane enesifo samathambo kuyinto ejwayelekile, ngakho-ke kufanele ijwayele ukuya esikoleni, okufanele yazi isimo sengane ukuze ikwazi ukuzivumelanisa nezimo nokuhlangana komphakathi.

I-Physiotherapy ye-arthritis yengane

Kubalulekile futhi nokwenza ukwelashwa ngokomzimba ukuze uvuselele, ngokuzivocavoca umzimba okusiza ukubuyisela ukuhamba ejoyintini, ukuze ingane ikwazi ukwenza imisebenzi efana nokuhamba, ukubhala nokudla ngaphandle kobunzima. Kubalulekile futhi ukusebenzisa ukuguquguquka namandla emisipheni yakho.

Bona ezinye izindlela zokudambisa izimpawu zesifo samathambo ebuntwaneni ngokudla ukudla okukhethekile kwe-arthritis noma ukuzivocavoca ukuze uthuthukise izimpawu.